Senior Field Property Adjuster

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🔥 3 hours ago

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Logo of Dayforce

Dayforce

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🤝 B2B

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • B2B

Dayforce is a cloud-based human capital management (HCM) platform from Ceridian that delivers payroll, HR, workforce management, talent management, benefits administration, time & attendance, and scheduling capabilities. It is offered as a SaaS solution for employers to manage payroll, compliance, recruiting, performance, and workforce processes in a single platform.

📋 Description

• Independently manage field property claims, including those requiring outside field investigations and catastrophe (CAT) response. • Lead thorough investigations, assess coverage, and issue appropriate documentation including reservation of rights and coverage letters. Escalate issues as needed. • Identify and proactively pursue opportunities to transfer risk to the appropriate entities for the benefit of insureds and business partners. • Maintain comprehensive and detailed claim records, ensuring proper documentation and compliance with jurisdictional requirements. • Identify and assign subrogation potential appropriately; set up files to support successful recovery efforts. • Ensure all claims activities comply with regulatory and company standards. Execute jurisdictional compliance requirements and support others in understanding regulatory obligations. • Investigate and manage suspicious claims using advanced techniques and tools; refer to the Special Investigation Unit (SIU) as needed. Maintain awareness of fraud indicators and regulatory reporting obligations. • Set reserves, authorize payments, and make financial decisions within authority and contribute to reserving accuracy and efficiency. • Coordinate with internal and external stakeholders including legal, underwriting, vendors, and agents. Lead cross-functional meetings and communicate complex information clearly to diverse audiences. • Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims handling efficiency. Ensure proper data ingestion, labeling, and protection of personally identifiable information (PII). • Maintains comprehensive factual and organized claim records and prepares detailed reports summarizing findings and recommendations. • Serve as a mentor to junior adjusters, providing guidance on complex claims, compliance, and litigation processes. Support training initiatives and contribute to the development of best practices and educational materials. • Deliver empathetic, clear communication throughout the claims process. Educate claimants and stakeholders, affirm next steps, and ensure a positive customer experience. • May represent the company in mediations, arbitrations, and trials.

🎯 Requirements

• Bachelor’s degree or equivalent experience with claim handling. Typically requires 5–10 years of adjusting experience. • Strong knowledge of local geography, regulations, and public safety agencies, as well as the ability to build rapport with insureds and navigate the insurance and legal climate. • Strong working knowledge of applicable statues, regulations, case law, and third-party legal liability concepts. • Skilled in negotiation and developing strategies to influence outcomes. Demonstrates sound judgment and decision-making, including litigation and compliance matters. • Communicates clearly and effectively in both verbal and written formats across a variety of situations. Selects appropriate communication channels and consistently demonstrates empathy toward all stakeholders. • Highly organized with the ability to manage complex workflows and project work. Demonstrates strong time management and desk management skills. • Makes informed decisions based on thorough analysis of complex issues. Evaluates risks and outcomes, acts independently within authority, and identifies patterns in claims to support resolution strategies. • Ability to collaborate with internal and external experts, including legal, underwriting, and other stakeholders to ensure thorough evaluation. • Ability to quickly assess customer concerns and anticipate questions, communicate and translate complex and technical terms clearly with easily understood language; deliver difficult messages when needed. • Skilled in using claims systems and Microsoft Office Suite.

🏖️ Benefits

• Must have and maintain appropriate state adjuster licenses, continuing education credits, and a valid driver’s license.

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